Advantage Plus Homecare, Inc.
Organization Active NPI Home Health Agency · Jasper, TX
NPI 1194760165 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1194760165
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 007991 (TX)
- Legal business name
- ADVANTAGE PLUS HOMECARE, INC.
- Practice address
- 853 North Zavalla St.
Jasper, TX 75951 - Phone
- (409) 489-1496
- Fax
- (409) 489-1153
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Jessica Clayanne Spadaccini, RN
- Title
- Administrator
- Phone
- (409) 489-1496
Corporate family (same tax ID) 1
Affiliated clinicians 12
-
Larry D. Brown Sr., M.D.
-
Sharon K Byley, RN, FNP-C
-
Martin E. Gilliland, M.D.
-
Ashlee Jade Green, MSN, FNP-C
-
Durba Mishra, MD
-
Minesh M Patel, M.D., P.A
-
Heather Reagan, AFNP
-
Wagdy S Rizk, MD
-
Vicky St John, APRN
-
Freemu K Varghese, M.D.
-
Richard Pham, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Advantage Plus Homecare
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- Proprietary
- Certified
- Sep 5, 2002
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Home health agency certification: CCN 679159
- Legal name
- ADVANTAGE PLUS HOMECARE INC
- Doing business as
- ADVANTAGE PLUS HOMECARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 5, 2002
- Last certification
- May 5, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Mar 1, 2002 in TX
- Enrollment address
- 853 N Zavalla St
Jasper, TX 75951-3119
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Debra Norman |
W-2 Managing Employee |
Oct 22, 2021 | 50% |
| Louis Michael. Spadaccini |
5% Or Greater Direct Ownership Interest |
Oct 27, 2021 | 49% |
| Corporate Officer |
Oct 22, 2021 | 50% | |
| Corporate Director |
Oct 22, 2021 | 50% | |
| W-2 Managing Employee |
Oct 22, 2021 | 50% | |
| Jessica Spadaccini |
5% Or Greater Direct Ownership Interest |
Oct 27, 2021 | 51% |
| Corporate Officer |
Oct 22, 2021 | 100% | |
| Corporate Director |
Oct 22, 2021 | 50% | |
| W-2 Managing Employee |
Oct 22, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090721000380 | TX | Part a Provider - Home Health Agency | 8426100595 | Practice locations: Beaumont, TX; Jasper, TX |
National Provider Directory
- Tax ID family
- Advantage Plus Homecare
Locations
3240 Delaware St
Beaumont, TX 77703
Phone (409) 899-1665
853 N Zavalla St
Jasper, TX 75951
Phone (409) 489-1496
531 N 16th St
Orange, TX 77630
Phone (409) 883-9902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 007991 | TX | Yes |
| Pediatric Skilled Nursing Facility | 3140N1450X | 007991 | TX |
Addresses
Primary practice location
853 North Zavalla St.
Jasper, TX 75951
Mailing address
853 North Zavalla St.
Jasper, TX 75951
Phone (409) 489-1496
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154276301 | Medicaid | TX |
Other names
- Advantage Plus Homecare
NPI Registry JSON
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1194760165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 NORTH ZAVALLA ST.",
"city": "JASPER",
"state": "TX",
"postal_code": "75951",
"telephone_number": "409-489-1496",
"fax_number": "409-489-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 NORTH ZAVALLA ST.",
"city": "JASPER",
"state": "TX",
"postal_code": "75951",
"telephone_number": "409-489-1496",
"fax_number": "409-489-1153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANTAGE PLUS HOMECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "SPADACCINI",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "CLAYANNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "409-489-1496",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "007991",
"primary": true
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "TX",
"license": "007991",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154276301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advantage Plus Homecare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advantage Plus Homecare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jasper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.